Soul Search Studios

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

SOUL SEARCH STUDIOS

Practice address

14360 Marrian Ave
Jupiter, FL 33458-6753

Phone

(561) 777-9934

NPI assigned

May 12, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Darrell Lavon Johnson

Title

Credentialing Specialist

Phone

(561) 356-6313

Specialties & licenses 1

Addresses

Other names 1

• SOUL SEARCH STUDIOS Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1811519804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14360 MARRIAN AVE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586753",
            "telephone_number": "561-777-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14360 MARRIAN AVE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586753",
            "telephone_number": "561-777-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SEARCH STUDIOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "LAVON",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-356-6313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUL SEARCH STUDIOS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Counseling Psychologist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.